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Individual

DR. SHENNA R KEENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-5029
Mailing address
14100 AGEE LN, MIDLOTHIAN, VA 23114-4375
(804) 379-5343

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101238312
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C06115
GROUP PTAN
VA
01
C06695
GROUP PTAN
VA
Enumeration date
09/15/2005
Last updated
05/27/2016
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